Free Medical Equipment Inspection Form Template
Medical Equipment Inspection Form
Fill out the form below to properly log the inspection.
Equipment Details
Equipment Name
Model/Serial Number
Location/Department
Date of Last Inspection
Inspection Checklist
Visual Inspection
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No physical damage or wear
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Properly labeled and tagged
Operational Functionality
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Power supply is functional
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Controls operate correctly
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Performance aligns with specifications
Safety Measures
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Grounding connections intact
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No electrical hazards
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Emergency stops function correctly
Maintenance
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Maintenance schedule followed
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Necessary repairs documented
Comments/Findings
Inspector's Declaration
I, declare that the above information is accurate and that the inspection was conducted in accordance with the organization’s guidelines and applicable safety standards.
Date:
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